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General NPI Number Information
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NPI Number | 1598958746
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Entity Type | Organization
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Legal Business Name | CHUEN K KWOK MS APMC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 316 W 7TH ST
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City | DERIDDER
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State | LA
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Zip | 70634-4914
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Country | US
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Telephone | 337-462-1400
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Fax | 337-462-0224
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Provider Business Mailing Address
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Address Line | 316 W 7TH ST
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City | DERIDDER
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State | LA
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Zip | 70634-4914
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Country | US
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Telephone | 337-462-1400
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Fax | 337-462-0224
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHUEN K KWOK
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Credential | M.D.
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Telephone | 337-462-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 10335R
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License Number State | LA
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